Staff Resources

School Health Services Procedure Manual

Referrals: for new students or students with new diagnoses, please complete a referral to the district RN.

Staff that is onsite everyday is the most vital part of keeping students safe. Below are the Standard Procedures, consistent with first aid practices, for all first aid trained staff to use. The conditions listed are those which are most common to the school setting. Student's who have medical conditions that require a procedure that deviates from standard first aid will have an Individual Health Protocol (IHP).

STANDARD PROCEDURES
Altered Level of Consciousness
Asthma
Bleeding
Cardiac
Head Injuries
*Concussion Checklist
*OSAA Return to Participate Form
* Head Injury Parent Information Page
Heat Emergency
Seizure Disorders
Shunt Dependent Hydrocephalus

*Incident Report

Illness Exclusion

Common Childhood Illnesses/conditions

Allergies
Asthma
Fifth Disease
Hand Foot and Mouth
Norovirus ("stomach flu")
Pertussis
Ringworm
Scabies
Staph ( MSSA, MRSA)

External links with permission by MayoClinic.org and KidsHealth.org

Staff Training

The below include training resources for mandated health services training.
Please note internal links are only accessible for Molalla River School District employees. If you do not have MRSD permissions or account access will be denied. Thank you.

MEDICATION ADMINISTRATION
Annual Medication Administration Training
ODE Required Medication Protocol

ADRENAL CRISIS
Adrenal Crisis

ANAPHYLAXIS
Annual Severe Allergic Reaction Training
SAR-EpineprhineQuiz

Oregon Health Authority Protocol

Anaphylaxis
When to use an EpiPen®
How to use an EpiPen®

Standard Procedure for Treatment of Anaphylaxis- for trained staff only

DIABETES
Annual Glucagon Training
Glucagon Quiz

Oregon Health Authority Glucagon Protocol

ADA Treatment of Hypoglycemia

Diabetes Basics
Severe Hypoglycemia
Glucagon Administration

Legislative requirements in Oregon require specific curriculum for Emergency Glucagon Administration, Severe Allergic Reactions ( Epinephrine Administration) and Medication Administration.
The Medication Administration Curriculum requires a face to face course with a nurse during the initial training and can be reviewed by staff and a statement of completion signed for refresher coursework as per OAR 339-866-873.

The Severe Allergic Reaction Course and Emergency Glucagon Course are required in a class setting with a Registered Nurse ( or other Qualified Trainer ) to include education on the physiology of each respective condition, active practice of medication handling and return demonstration as per ORS 422.800-825 and ORS 333-055-0000.

Training for the Treatment of Severe Allergic Reaction and Training of Emergency Glucagon Providers for Treatment of Hypoglycemia FACT SHEET

Forms

There are many diagnoses and conditions managed everyday in the school setting, some of the most common are listed below with applicable information and forms for new students or new diagnoses.

REFERRAL

Please notify the District RN of these new diagnoses/students by completing a referral.

PACKETS

ASTHMA
Asthma Packet
Asthma History
Prescriber's Orders for Asthma
Authorization for Nebulized Medication
Authorization for Medication Administration (self administration AGREEMENT included)

ANAPHYLAXIS
Anaphylaxis Packet
Severe Allergic Reaction History
Authorization for Epinephrine
Prescriber's orders for Severe Allergic Reaction
AUTHORIZATION FOR MEDICATION ADMINISTRATION (SELF ADMINISTRATION AGREEMENT INCLUDED)

ALLERGIES
Allergy Action Plan
Authorization for Medication Administration

ADRENAL CRISIS
Authorization for Solu-Cortef

DIABETES
Authorization for Diabetic Care
Emergency Glucagon Authorization
Self-Management Contract
Authorization for Medication Administration

SEIZURE DISORDERS
Authorization for Specialized Care for Seizure Action Plan
Authorization for Medication Administration
Seizure History Intake

Any student with a chronic health condition that will require collaboration with their provider should complete an:
Authorization to Disclose Health Information

Conditions with clinical procedures not reflected above should complete:
Authorization for Healthcare Procedures

Students who will take medication daily or intermittently at school should complete an:
Authorization for Medication Administration

Medication Administration Record
PRN Medication Administration Record

Academic Support Resources

Chronic disease in the school setting may or may not require accommodations. Below is general information relative to the specified conditions in the school setting as common classroom tools and academic accommodations.

ANAPHYLAXIS

Anaphylaxis (Severe Allergic Reaction)

504 Information for Severe Allergic Reactions

ASTHMA
Asthma at School
504 Information for Asthma

CYSTIC FIBROSIS
A Teacher's Guide to CF
504 Information for Cystic Fibrosis

DIABETES
General Information
Type 1 Diabetes
Type 2 Diabetes

Diabetes in the Classroom